Dr. Lindsay D. Sewell

MOHS-Micrographic Surgery Teton Valley Hospital NPI1346432226

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.44 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 78

 

IA Category Score 40
Cost Category Score 0
Total Patients: 96
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
MIPS_EC_047_overall Advance Care Plan 3 905 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 71 818 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 62 790 3 99 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 5 2254 1 100 REG
MIPS_EC_138_overall Melanoma: Coordination of Care 100 24 REG
MIPS_EC_137_overall Melanoma: Continuity of Care Recall System 100 176 REG
MIPS_EC_265_overall Biopsy Follow-Up 100 111 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 89 55 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_EP_1 e-Prescribing 98 1453 4 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 73 1971 3 100 REG
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement